Healthcare Provider Details

I. General information

NPI: 1942965132
Provider Name (Legal Business Name): ROSE GARDEN NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 ARENA DR
HAMILTON NJ
08610-3409
US

IV. Provider business mailing address

58 MAIN ST FL 2
HACKENSACK NJ
07601-7014
US

V. Phone/Fax

Practice location:
  • Phone: 201-417-3396
  • Fax:
Mailing address:
  • Phone: 201-417-3396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SAJJAD LADHA
Title or Position: OWNER
Credential:
Phone: 201-417-3396